Provider Demographics
NPI:1609028372
Name:EADS, CINDY (RN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:EADS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2628 STATE ROUTE 325 N
Mailing Address - Street 2:
Mailing Address - City:BIDWELL
Mailing Address - State:OH
Mailing Address - Zip Code:45614-9109
Mailing Address - Country:US
Mailing Address - Phone:740-441-7967
Mailing Address - Fax:
Practice Address - Street 1:2628 STATE ROUTE 325 N
Practice Address - Street 2:
Practice Address - City:BIDWELL
Practice Address - State:OH
Practice Address - Zip Code:45614-9109
Practice Address - Country:US
Practice Address - Phone:740-441-7967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV53056163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse